* 1. Name and Gender Pronoun (e.g., she, he, they)

* 2. Email, Phone, Address

* 3. Major(s)/Minor(s) and Year

* 4. Have you ever participated in an Alternative Break Experience? If so, which trip and with whom?

* 5. Why are you interested in participating in the CWC's Alternative Fall Break?

* 6. Describe your current and recent volunteer experience.

* 7. What is your experience with gender equity work? And/or with domestic violence or sexual assault organizations?

* 8. What role do you typically play on a team? What can you bring to a group setting?

* 9. What do you hope to gain by participating in this trip?

* 10. How can you share your Alternative Break experience with the UNC community?

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